| Regimental number | 2761 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tomerong via Nowra, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Nelson, Tomerong via Nowra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 6th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |